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Global Health: Science and Practice

Dedicated to what works in global health programs

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Latest Articles

  • Open Access
    Enhancing Antiretroviral Therapy Initiation for Hospitalized and Recently Discharged People Living With HIV in Johannesburg, South Africa
    Natasha Davies, Melanie Bisnauth and Kate Rees
    Global Health: Science and Practice January 2025, https://doi.org/10.9745/GHSP-D-24-00017

    A dedicated HIV-services team can support effective antiretroviral therapy (ART) initiations for hospitalized people with HIV through structured case finding, ART initiation, and post-discharge linkage support. Replicating this model across South Africa and the region could improve individual outcomes.

  • Open Access
    A Novel Approach to Assessing the Potential of Electronic Decision Support Systems to Improve the Quality of Antenatal Care in Nepal
    Biraj Man Karmacharya, Seema Das, Abha Shrestha, Abha Shrestha, Sulata Karki, Rajani Shakya, Emma Radovich, Loveday Penn-Kekana, Clara Calvert, Oona M.R. Campell and Ona L. McCarthy
    Global Health: Science and Practice January 2025, https://doi.org/10.9745/GHSP-D-23-00370

    An electronic decision support system alone is not enough to provide quality antenatal care in the Nepalese setting.

  • Open Access
    Early Effects of Information Revolution Interventions on Health Information System Performance in Ethiopia
    Barbara Knittel, Heather M. Marlow, Afrah Mohammedsanni, Abebaw Gebeyehu, Hiwot Belay and Wubshet Denboba
    Global Health: Science and Practice December 2024, 12(6):e2300513; https://doi.org/10.9745/GHSP-D-23-00513

    Ethiopia’s shift to a digital health information system under the Information Revolution has laid a strong foundation for improved data quality. To fully realize the potential of this transformation, ongoing commitment to addressing key challenges in system integration and capacity-building is vital.

  • Open Access
    Recognizing and Addressing the Contraceptive Hesitancy-Acceptability Continuum: Adopting Lessons Learned From the Immunization Field
    Madeleine Short Fabic and Amy Ong Tsui
    Global Health: Science and Practice December 2024, 12(6):e2400220; https://doi.org/10.9745/GHSP-D-24-00220

    We propose a new framework that builds from vaccine hesitancy concepts and findings for the family planning community to better conceptualize, measure, and address the major drivers of contraceptive hesitancy and acceptability.

  • Open Access
    Recommendations for Using Health Service Coverage Cascades to Measure Effective Coverage for Maternal, Newborn, Child, and Adolescent Health Services or Interventions
    Kathleen Strong, Georgia Konstantinou, Ambrose Agweyu, Theresa Diaz, Debra Jackson, Minjoon Kim, Shogo Kubota, Hannah Leslie, Marzia Lazzerini, Tanya Marchant, Melinda Munos, Moise Muzigaba, Alicia Quach, Ashley Sheffel, Nuhu Yaqub and for the Life Stages Quality of Care Metrics Technical Working Group for Maternal, Newborn, Child and Adolescent Health and Ageing
    Global Health: Science and Practice December 2024, 12(6):e2400158; https://doi.org/10.9745/GHSP-D-24-00158

    Using health service coverage cascades to measure effective coverage for maternal, newborn, child, and adolescent health services on a global scale is premature and requires further research and validation to reach consensus.

  • Open Access
    Using the 5C Vaccine Hesitancy Framework to Elucidate and Measure Contraceptive Acceptability in sub-Saharan Africa
    Lotus McDougal, Caroline Deignan, Peter Kisaakye, Courtney McLarnon, Rebecka Lundgren, Shannon Pryor and Madeleine Short Fabic
    Global Health: Science and Practice December 2024, 12(6):e2400210; https://doi.org/10.9745/GHSP-D-24-00210

    We draw lessons from immunization research by assessing the applicability of the 5C framework of vaccine hesitancy to contraceptive acceptability in sub-Saharan Africa.

  • Open Access
    Process Evaluation of Teaching Critical Thinking About Health Using the Informed Health Choices Intervention in Rwanda: A Mixed Methods Study
    Michael Mugisha, Andrew D. Oxman, Laetitia Nyirazinyoye, Anne Marie Uwitonze, Clarisse Marie Claudine Simbi, Faith Chesire, Ronald Ssenyonga, Matt Oxman, Allen Nsangi, Daniel Semakula, Margaret Kaseje, Nelson K. Sewankambo, Sarah Rosenbaum and Simon Lewin
    Global Health: Science and Practice December 2024, 12(6):e2300483; https://doi.org/10.9745/GHSP-D-23-00483

    In this process evaluation, we found that teacher training, student factors, and school support helped the implementation of an intervention designed to help students think critically about health claims.

  • Open Access
    Simulation-Based Education of Health Workers in Low- and Middle-Income Countries: A Systematic Review
    Samuel J.A. Robinson, Angus M.A. Ritchie, Maurizio Pacilli, Debra Nestel, Elizabeth McLeod and Ramesh Mark Nataraja
    Global Health: Science and Practice December 2024, 12(6):e2400187; https://doi.org/10.9745/GHSP-D-24-00187

    Simulation-based education has been widely applied in low- and middle-income countries and has been shown to improve outcomes in a variety of contexts.

  • Open Access
    Accelerating Progress in Women’s Sexual and Reproductive Health and Rights Decision-Making: Trends in 32 Low- and Middle-Income Countries and Future Perspectives
    Mengjia Liang, Lindsay Katz, Emilie Filmer-Wilson and Priscilla Idele
    Global Health: Science and Practice December 2024, 12(6):e2400228; https://doi.org/10.9745/GHSP-D-24-00228

    This study highlights significant country and subnational variations in the progress of achieving universal sexual and reproductive health and reproductive rights, demonstrating the urgent need for targeted, culturally informed interventions to empower women globally and close persistent gaps in reproductive rights and bodily autonomy.

  • Open Access
    Hybrid Mentorship of Medical Laboratories to Achieve ISO 15189:2012 Accreditation in Malawi: The University of Maryland Malawi Experience
    Hannaniah Moyo, Sophia Osawe, Charles Nyangulu, Philemon Ndhlovu, Visopo Harawa, Oscar Divala, Malango Msukwa, Talishiea Croxton, Natalia Blanco, Dyson Mwandama, Memory Mkandawire, Elizabeth Kampira, Muluken Kaba, Alice Maida, Andrew F. Auld, Lindsay Kim, Reuben Mwenda, Howard Kress, James Kandulu, Thresa Sumani, Joseph Bitilinyu, Thokozani Kalua and Alash’le Abimiku
    Global Health: Science and Practice December 2024, 12(6):e2400254; https://doi.org/10.9745/GHSP-D-24-00254

    We describe a valuable hybrid mentorship and training model for supporting medical laboratories in low-resource settings in improving laboratory quality management systems and achieving accreditation.

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